Individual
DR. DOUGLAS JAMES HASBROUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13343 S 1100 W, RIVERTON, UT 84065-6161
(801) 333-5392
Mailing address
13343 S 1100 W, RIVERTON, UT 84065-6161
(801) 333-5392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1713111205
UT
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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